Ayla Nichole Blackwelder

NPI #1215436779 in Viera, Florida

Provider Information

NPI Number: 1215436779
Entity Type: Individual
Name: Ayla Nichole Blackwelder
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Feb 9, 2018
Last Updated: Jan 27, 2021

Practice Location

Address: 5500 MURRELL RD STE 100
City: Viera
State: Florida
ZIP Code: 32940-6700
Phone: (321) 426-7759

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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